Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$121.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$151.25
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$6.00 with Johns_Hopkins_HealthCare_Plan vs $143.69 with Johns_Hopkins_HealthCare_Plan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $6.00 | ↓ -95% |
| Geisinger_Medicaid | All_Plans | $6.00 | ↓ -95% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $6.00 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $6.00 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $6.00 | ↓ -95% |
| Highmark_Medicare | All_Plans | $6.06 | ↓ -95% |
| Aetna_Medicare | All_Plans | $6.18 | ↓ -95% |
| Aetna_Advantra_Medicare | All_Plans | $6.18 | ↓ -95% |
| United_Medicare | ISNP_DSNP_Plans | $6.30 | ↓ -95% |
| Devoted_Medicare | All_Plans | $6.30 | ↓ -95% |
| Geisinger_Gold_Medicare | All_Plans | $6.30 | ↓ -95% |
| Amerihealth_Medicare | All_Plans | $6.33 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $6.33 | ↓ -95% |
| Aetna_Better_Health_Kids | All_Plans | $6.36 | ↓ -95% |
| PA_Health_&_Wellness_Medicare | All_Plans | $6.48 | ↓ -95% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $6.48 | ↓ -95% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $7.23 | ↓ -94% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $7.23 | ↓ -94% |
| Highmark | Higmark_Healthy_Kids | $9.18 | ↓ -92% |
| Health_Partners_Medicaid | Kidz_Partners | $9.90 | ↓ -92% |
| United_Medicaid | Community_Plan_For_Kids | $10.50 | ↓ -91% |
| Aetna | All_Plans | $18.24 | ↓ -85% |
| First_Health_Network | All_Plans | $18.24 | ↓ -85% |
| UPMC_Medicaid | All_Plans | $20.00 | ↓ -83% |
| Highmark | Blue_Cross_High_Performance_Network | $23.48 | ↓ -81% |
| Highmark | Performance_Blue | $23.48 | ↓ -81% |
| Highmark | Choice_Blue_PPO | $23.48 | ↓ -81% |
| Highmark | All_Other_Plans | $29.89 | ↓ -75% |
| United_Healthcare | All_Plans | $64.00 | ↓ -47% |
| Cigna | All_Plans | $70.00 | ↓ -42% |
| Blue_Cross | Capital_Cares_4_kids | $84.92 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $87.56 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $121.32 | ↑ +0% |
| WellSpan_Capital_Blue_Cross | All_Plans | $139.15 | ↑ +15% |
| UPMC | UPMC_For_Kids | $140.66 | ↑ +16% |
| UPMC | All_Plans | $140.66 | ↑ +16% |
| Geisinger | All_Plans | $141.65 | ↑ +17% |
| PHC | All_Plans | $143.69 | ↑ +19% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $143.69 | ↑ +19% |
Visitor-reported prices
Comments
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4.20 | $0.00 – $5.95 |
| UPMC Community Osteopathic | Harrisburg | $4.20 | $0.00 – $5.95 |
| UPMC Hanover | Hanover | $4.20 | $0.00 – $0.00 |
| UPMC Kane | Kane | $18.00 | $0.00 – $0.02 |
| UPMC Lititz | Lititz | $4.20 | $0.00 – $0.00 |
| UPMC Memorial | York | $4.20 | $0.00 – $0.01 |
| UPMC Somerset | Somerset | $4.20 | $0.00 – $0.00 |
| WellSpan Chambersburg Hospital | Chambersburg | $32.00 | $0.01 – $70.00 |